基于健康信念的干预联合心理引导对胃癌手术患者配合度的影响  

Effect of health belief-based intervention combined with psychological guidance on cooperation of patients with gastric cancer undergoing surgery

作　　者：李占英 张甜 肖旭煜 LI Zhanying;ZHANG Tian;XIAO Xuyu(Operation Room,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,He’nan,China)

机构地区：[1]郑州大学第一附属医院手术室,郑州4500000

出　　处：《癌症进展》2024年第20期2270-2273,共4页Oncology Progress

摘　　要：目的探讨基于健康信念的干预联合心理引导对胃癌手术患者配合度的影响。方法将120例胃癌患者根据干预方式的不同分为常规组(n=59,常规干预)和联合组(n=61,常规干预+基于健康信念的干预+心理引导)。比较两组患者的围手术期指标、负性情绪[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)]、健康信念[Champion健康信念量表(CHBMS)]、配合度和术后并发症发生情况。结果联合组患者住院时间明显短于常规组,差异均有统计学意义(P﹤0.01)。干预后,两组患者HAMA、HAMD量表评分均较干预前降低,且联合组患者HAMA、HAMD量表评分均低于常规组,差异均有统计学意义(P﹤0.05)。干预后,两组患者CHBMS量表各维度评分均较干预前升高,且联合组患者CHBMS量表各维度评分均高于常规组,差异均有统计学意义(P﹤0.05)。联合组患者总配合度高于常规组,术后并发症总发生率低于常规组,差异均有统计学意义(P﹤0.05)。结论基于健康信念的干预联合心理引导能够改善胃癌手术患者的焦虑抑郁情绪,提高患者的健康信念和配合度,减少术后并发症发生。Objective To explore the effect of health belief-based intervention combined with psychological guidance on cooperation of patients with gastric cancer undergoing surgery.Method A total of 120 patients with gastric cancer were divided into conventional group(n=59,conventional intervention)and combined group(n=61,conventional intervention+health belief-based intervention+psychological guidance)according to different intervention methods.The perioperative indicators,negative emotions[Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD)],health belief[Champion’s health belief model scale(CHBMS)],cooperation and postoperative complications were compared between the two groups.Result The time of hospital stay in the combined group was significantly shorter than that in the conventional group,the difference was statistically significant(P<0.01).After intervention,the HAMA and HAMD scores in two groups were lower than those before intervention,and the HAMA and HAMD scores in the combined group were lower than those in the conventional group,the differences were statistically significant(P<0.05).After intervention,the scores of all dimensions of CHBMS in the two groups were higher than those before intervention,and the scores of all dimensions of CHBMS in the combined group were higher than those in the conventional group,the differences were statistically significant(P<0.05).The total cooperation in combinated group was higher than that in conventional group,and the total incidence of postoperative complications was lower than that in conventional group,the differences were statistically significant(P<0.05).Conclusion Health belief-based intervention combined with psychological guidance can improve the anxiety and depression of patients with gastric cancer undergoing surgery,improve their health belief and cooperation,and reduce postoperative complications.

关 键 词：基于健康信念的干预 心理引导 胃癌 配合度 健康信念 

分 类 号：R735.2[医药卫生—肿瘤]